Healthcare Policy and Nursing Informatics as a Specialty ; Attempts of NI to be recognized as aspecialty failed. ; a request was supported by politicalforces and thus ANA recognized NI as aspecialty.
Nursing Informatics was defined as:• A combination of nursing, information, and computer science to manage and process nursing data into information and knowledge for use in nursing practice.
Domain of Nursing Informatics• It is focused on data and its structures, information management, and the technology, including databases, needed to manage information effectively.
NI includes use of the ff. theories:• Linguistics• Human-machine interface• Decision science• Cognitive science• Communication• Engineering• Library science and• Organizational dynamics
Interdisciplinary PracticeInformatic nurses:• Demonstrate specialized knowledge of information and technology. – This knowledge exceeds the ability to use technology that is expected of all nurses.
Informatic nurses:• should assist with the development and implementation of technology tools for clinical practice, evaluation of the effectiveness of technological tools on nurses’ work, and help prepare nurses to use information technologies.
• the Division of Nursing (DN), Health and Human Services Administration (HRSA)funded two Master’s NI programs, University of Maryland and University of Utah and one doctoral program in NI at University of Maryland in 1988-1992.
• In 1992, the American Nurses Association (ANA)officially established the role of the informatics nurse specialist, shortly after which they began offering the first credentialing exam in 1995.
• the ANA’s Scope and Standards of Nursing Informatics Practice (2001) identifies three progressive levels of NI competencies:• the beginning nurse,• experienced nurse,• and informatics nurse specialist
• As the specialty of NI has become more defined,nurses have sought out more learning opportunities and have benefited from the emergence of more formal NI education programs.
• In 2004, President G.W. Bush issued an executive ord er creating The Decade of Health Information Technology with a goal of establishing an electronic health record (EHR) for every American in the next 10 years. One of the reasons for this order was the release of findings from the Institute of Medicine (IOM) studies concluding that information technologies hold the promise to transform health care practice and facilitate patient safety.
• One of Centers for Medicare and Medicaid Services (CMS) most important initiatives is to assist practitioners in making care more effective and less costly, particularly by promoting adoption of health information technology.
• The (TIGER) Summit in 2006 collaborated with colleagues from key federal agencies and healthcare organizations and articulated a vision for the future of nursing that enables nurses to use informatics in practice and education to provide safe, quality care.
– to provide an electronic health record to all American by 2014.– Works to build a secure, nationwide health information infrastructure to connect health providers , consumers and others supporting health and healthcare.
– Is at the forefront of the administration’s health and IT effort and is a resource to the entire health system to support the adoption of health information technology and the promotion of nation wide health information exchange to improve health care.
• The of 2009 (ARRA) provided for the creation of an Health IT Policy Committee under the auspices of the (FACA), the committee is charged with making recommendations to the National Coordinator for Health IT on a policy framework for the development and adoption of a nationwide health information infrastructure, including standards for the exchange of patient medical information.
• ARRA also provided for the creation of an under the auspices of the FACA that is charged with making recommendations to the National Coordinator in standards, implementation specification, and certification criteria for the electronic exchange and use of health information.
– Represents a unique opportunity to build partnerships across communities of interest throughout the nation’s health care environment in the development of a truly integrated and effective health information exchange network.
• serves as the statutory [42 U.S.C. 242k(k)] public advisory body to the Secretary of the Department of Healthand Human Services in the area of health data and statistics. In that capacity, the Committee provides advice and assistance to the Department and serves as a forum for interaction with interested private sector groups on a variety of key health data issues.
• A science partner, working with the public and private sectors to build the knowledge base for what works and does not work in health and health care and to translate this knowledge into everyday practice and policy making.
• National Governors Association-State Alliance for e-Health• PEHRC (Physicians· Electronic Health Record Coalition)• The eHealth Initiative and the Foundation for eHealth Initiative• Connecting for Health-Markle• Healthcare Information and Management Systems Society (HIMSS)• HIMSS EHR Association (EHRA)